Provider Demographics
NPI:1598556870
Name:ROYSTON, MAKAYLA TRENAY (CNA)
Entity type:Individual
Prefix:
First Name:MAKAYLA
Middle Name:TRENAY
Last Name:ROYSTON
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12118 NOTTINGHAM LN APT D
Mailing Address - Street 2:
Mailing Address - City:BRIDGETON
Mailing Address - State:MO
Mailing Address - Zip Code:63044-4002
Mailing Address - Country:US
Mailing Address - Phone:314-356-0305
Mailing Address - Fax:
Practice Address - Street 1:12118 NOTTINGHAM LN APT D
Practice Address - Street 2:
Practice Address - City:BRIDGETON
Practice Address - State:MO
Practice Address - Zip Code:63044-4002
Practice Address - Country:US
Practice Address - Phone:314-356-0305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-15
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOMO029868201291376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide